| Women & Pediatric Clinic | |
|
1217 E Railroad Ave Greenville MS 38703-3256 | |
| (662) 335-3991 | |
| (662) 332-1736 |
| Full Name | Women & Pediatric Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1217 E Railroad Ave, Greenville, Mississippi |
| Authorized Official Name and Position | Michelle Porter (ACCOUNTS RECEIVABLE COORDINATOR) |
| Authorized Official Contact | 6627412151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Women & Pediatric Clinic 1414 Hospital St Greenville MS 38703-3217 Ph: (662) 335-3991 | Women & Pediatric Clinic 1217 E Railroad Ave Greenville MS 38703-3256 Ph: (662) 335-3991 |
| NPI Number | 1942491428 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 08/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942491428 | NPI | - | NPPES |
| 05438355 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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